Organization
BREAST DIAGNOSTIC CENTER, LLC
Active
Other names
BREAST DIAGNOSTIC SCREENING CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM M GREGORY M.D. (PRESIDENT)
(260) 471-9466
Entity
Organization
Contact information
Practice address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(260) 471-9466
Mailing address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(260) 471-9466
(260) 484-5919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080340A
—
IN
Enumeration date
04/11/2006
Last updated
09/24/2024
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